NUR 206/NUR206 Final Exam V1 |
Community Nursing Concepts Q&A with
Rationale | Fortis College
1. A community health nurse is planning a health fair to provide influenza vaccines to the
general public. Which level of prevention is the nurse implementing?
A. Secondary prevention
B. Quaternary prevention
C. Tertiary prevention
D. Primary prevention
Correct Answer: D
Expert Explanation: Primary prevention focus on health promotion and the prevention of
the onset of disease through specific protections like immunizations. By providing vaccines,
the nurse aims to prevent the occurrence of influenza within the community. This
intervention is designed to decrease the incidence of the disease before any pathological
process begins.
2. When utilizing the epidemiological triad to investigate a foodborne illness outbreak, which
factor would the nurse identify as the ‘Agent’?
A. The contaminated potato salad
B. Salmonella bacteria
,C. The elderly population at the picnic
D. Warm ambient temperatures in the park
Correct Answer: B
Expert Explanation: The agent is the animate or inanimate factor that must be present or
lacking for a disease or condition to develop. In this scenario, Salmonella is the biological
agent responsible for the illness. The potato salad serves as the vehicle, the elderly are the
hosts, and the park temperature is the environment.
3. A nurse is performing a windshield survey of a local neighborhood. Which of the following
observations provides the most relevant data regarding the community’s socioeconomic
status?
A. The presence of several churches and religious centers
B. The number of public parks and recreational spaces
C. The types and condition of housing and local businesses
D. The proximity of the neighborhood to a major highway
Correct Answer: C
Expert Explanation: Observations of housing conditions and the presence of thriving or
abandoned businesses directly reflect the economic health of a community. Dilapidated
housing often correlates with lower socioeconomic status and potential health hazards like
lead or mold. This data helps the nurse identify environmental stressors and resources
available to the population.
, 4. To receive Medicare reimbursement for home health services, which criterion must the
patient meet?
A. The patient must require daily assistance with meal preparation
B. The patient must have a chronic condition that is expected to last over a year
C. The patient must be homebound and require intermittent skilled nursing care
D. The patient must be unable to afford private duty nursing services
Correct Answer: C
Expert Explanation: Medicare Part A requirements for home health coverage mandate
that the individual is homebound and needs skilled, intermittent care. Skilled care includes
services such as wound care, physical therapy, or medication management that require
professional expertise. The physician must also certify that the home health plan is
medically necessary.
5. A community health nurse is advocating for a new needle exchange program in an urban
area. Which ethical principle is primarily being applied by addressing the health needs of this
marginalized group?
A. Autonomy
B. Beneficence
C. Non-maleficence
D. Social Justice
Community Nursing Concepts Q&A with
Rationale | Fortis College
1. A community health nurse is planning a health fair to provide influenza vaccines to the
general public. Which level of prevention is the nurse implementing?
A. Secondary prevention
B. Quaternary prevention
C. Tertiary prevention
D. Primary prevention
Correct Answer: D
Expert Explanation: Primary prevention focus on health promotion and the prevention of
the onset of disease through specific protections like immunizations. By providing vaccines,
the nurse aims to prevent the occurrence of influenza within the community. This
intervention is designed to decrease the incidence of the disease before any pathological
process begins.
2. When utilizing the epidemiological triad to investigate a foodborne illness outbreak, which
factor would the nurse identify as the ‘Agent’?
A. The contaminated potato salad
B. Salmonella bacteria
,C. The elderly population at the picnic
D. Warm ambient temperatures in the park
Correct Answer: B
Expert Explanation: The agent is the animate or inanimate factor that must be present or
lacking for a disease or condition to develop. In this scenario, Salmonella is the biological
agent responsible for the illness. The potato salad serves as the vehicle, the elderly are the
hosts, and the park temperature is the environment.
3. A nurse is performing a windshield survey of a local neighborhood. Which of the following
observations provides the most relevant data regarding the community’s socioeconomic
status?
A. The presence of several churches and religious centers
B. The number of public parks and recreational spaces
C. The types and condition of housing and local businesses
D. The proximity of the neighborhood to a major highway
Correct Answer: C
Expert Explanation: Observations of housing conditions and the presence of thriving or
abandoned businesses directly reflect the economic health of a community. Dilapidated
housing often correlates with lower socioeconomic status and potential health hazards like
lead or mold. This data helps the nurse identify environmental stressors and resources
available to the population.
, 4. To receive Medicare reimbursement for home health services, which criterion must the
patient meet?
A. The patient must require daily assistance with meal preparation
B. The patient must have a chronic condition that is expected to last over a year
C. The patient must be homebound and require intermittent skilled nursing care
D. The patient must be unable to afford private duty nursing services
Correct Answer: C
Expert Explanation: Medicare Part A requirements for home health coverage mandate
that the individual is homebound and needs skilled, intermittent care. Skilled care includes
services such as wound care, physical therapy, or medication management that require
professional expertise. The physician must also certify that the home health plan is
medically necessary.
5. A community health nurse is advocating for a new needle exchange program in an urban
area. Which ethical principle is primarily being applied by addressing the health needs of this
marginalized group?
A. Autonomy
B. Beneficence
C. Non-maleficence
D. Social Justice
